HESI MED SURGE II QUESTIONS AND CORRECT DETAILED ANSWERS AGRADE

HESI MED SURGE II QUESTIONS AND CORRECT
DETAILED ANSWERS AGRADE
A 56-year-old female client is receiving intracavitary radiation via a radium implant.
Which nurse should be assigned to care for this client? - answer>> A 62-year-old nurse
with history of hysterectomy for fibroids.
A 77-year-old female client is admitted to the hospital. She is confused, has no appetite,
is nauseated and vomiting, and is complaining of a blurred vision. Her pulse rate is 53
beats per minute, bilateral ankle edema. Which question is a priority for the nurse to ask
this client or her family on admission? "Does the client - answer>> take digitalis?"
A client is admitted on intravenous heparin to treat a pulmonary embolism. The client's
most recent partial thromboplastin time (PTT) was 70 seconds. The laboratory reports a
control time of 28 seconds. What order should the nurse anticipate? - answer>> No
change to the heparin rate.
A client was admitted 6 days previously with oliguric acute kidney injury (AKI) has been
in fluid calculated from the urinary output plus insensible losses. Which of the following
findings will be most important for the nurse to report to the health care provider for new
orders? - answer>> Urine output over an 4-hour period is 1500 mL.
A client who is one week postoperative after an aortic valve replacement suddenly
develops severe pain in the left leg. On assessment, the nurse determines that the
client's leg is pale and cool, and no pulses are palpable in the left leg. After notifying the
healthcare provider, which action should the nurse take? - answer>> Keep the client in
bed in the supine position
A client with a high thoracic spinal cord injury develops an episode of autonomic
hyperreflexia with high blood pressure e intense headache. After placing the client in
high Fowler's position, the nurse's next action should be to: - answer>> Make sure that
the urinary catheter is paten